ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2022 American Transplant Congress
    • 2021 American Transplant Congress
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2021 Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Search

Outcomes of Transplants in Kidneys with Multiple Arteries

C. Seet, L. Clementoni, I. H. Mohamed, M. A. Khurram

The Royal London Hospital, London, United Kingdom

Meeting: 2022 American Transplant Congress

Abstract number: 1393

Keywords: Kidney transplantation, Surgery

Topic: Clinical Science » Kidney » 41 - Kidney Technical

Session Information

Session Name: Kidney Technical

Session Type: Poster Abstract

Date: Monday, June 6, 2022

Session Time: 7:00pm-8:00pm

 Presentation Time: 7:00pm-8:00pm

Location: Hynes Halls C & D

*Purpose: Variations in kidney anatomy, such as the presence of multiple arteries, may affect decisions regarding implantation. A significant proportion of living donor and some deceased donor kidneys with multiple arteries require multiple anastomoses or reconstruction. We aimed to assess the effect of multiple arteries on kidney transplant outcomes.

*Methods: We performed a registry analysis of all transplants in the UK from 2008-2018. Living donor (LD) and deceased donor (DD) kidney transplants were assessed separately. Univariate and multivariate analyses were performed to assess the effect of multiple arteries on graft outcomes including 3, 12, and 60 month graft function and the incidence of DGF and vascular thrombosis causing graft failure.

*Results: 13240 living donors and 28095 deceased donors were analysed. Warm ischaemic times in single artery kidneys was lower than kidneys with multiple arteries (LD 42 vs 45mins, p=0.025, DD 40 vs 43mins, p<0.001). Donor characteristics, terminal creatinine, were similar between both groups. In multivariate analysis adjusted for age, sex, diabetes, cold ischaemic time, and warm ischaemic time, there was no difference in mean creatinine at 3, 12 or 60 months in LD and DD with single or multiple arteries. There was an increased incidence in vascular thrombosis seen in LD with multiple arteries (2.2% vs 4.5%, p=0.008), but not in deceased donors (3.7% vs 4.0%, p=0.584). There was no difference in the incidence of DGF or PNF. In LDs, multiple arteries had no effect on transplant survival time (p=0.473), but DDs with multiple arteries had poorer survival (mean survival 5493 vs 5649 days, p=0.007).

*Conclusions: While multiple arteries may pose technical challenges and there is a prolonged warm ischaemic time, the long term clinical implications of this are minimal. The increased risk of graft thrombosis in LDs is clinically relevant but their long term graft survival and graft outcomes remain excellent

  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
  • Click to print (Opens in new window) Print

To cite this abstract in AMA style:

Seet C, Clementoni L, Mohamed IH, Khurram MA. Outcomes of Transplants in Kidneys with Multiple Arteries [abstract]. Am J Transplant. 2022; 22 (suppl 3). https://atcmeetingabstracts.com/abstract/outcomes-of-transplants-in-kidneys-with-multiple-arteries/. Accessed May 28, 2025.

« Back to 2022 American Transplant Congress

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2025 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy | Terms of Use | Cookie Preferences